[1]凌思卓,曾海文,刘滨月*.三维能量多普勒超声对胎盘植入患者的临床诊断价值分析[J].中国计划生育和妇产科,2018,(12):56-59.
　LING Si-zhuo,ZENG Hai-wen,LIU Bin-yue*.Analysis of clinical diagnostic value of three dimensional energy Doppler ultrasound in patients with placenta accreta[J].Chinese Journal of Family Planning & Gynecotokology,2018,(12):56-59.
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三维能量多普勒超声对胎盘植入患者的临床诊断价值分析
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年12期
页码:
56-59
栏目:
论著与临床
出版日期:
2018-12-25

文章信息/Info

Title:
Analysis of clinical diagnostic value of three dimensional energy Doppler ultrasound in patients with placenta accreta
作者:
凌思卓; 曾海文; 刘滨月*
深圳市龙岗中心医院超声科
Author(s):
LING Si-zhuo; ZENG Hai-wen; LIU Bin-yue*
Department of Ultrasonography,Longgang Central Hospital,Shenzhen Guangdong 518000.P.R.China
关键词:
三维能量多普勒超声; 胎盘植入; 产前检查; 临床诊断
Keywords:
three-dimensional energy Doppler ultrasound(3D-PDU); placental accreta;  prenatal examination;  clinical diagnosis
分类号:
R 4451
摘要:
目的探讨三维能量多普勒超声（3D power doppler ultrasound, 3D-PDU）在胎盘植入患者临床诊断中的应用价值。方法选取2015年1月至2017年10月深圳市龙岗中心医院妇产科收治的伴有胎盘植入高危因素的48例疑似胎盘植入患者为研究对象，观察3D-PDU对胎盘植入的诊断结果与“金标准”之间的一致性。结果48例可疑胎盘植入患者有35例（7292 %）经术后病理检查和临床综合诊断确诊为胎盘植入；3D-PDU检查结果为34例（7083 %）胎盘植入，其诊断敏感度为8571 %，特异度为6923 %，诊断符合率为8125 %。两种诊断方法具有较好的一致性（Kappa值为0536，P＜001）。胎盘植入组患者血管化指数（vascularization index,VI）、血流指数（flow index，FI）及血管化血流指数（vascularization-flow index， VFI）3个指标参数较无胎盘植入患者升高，差异有统计学意义（P＜005）。结论3D-PDU能够直观、形象地显示胎盘血流情况，利用三维立体重建软件可提供胎盘血管立体分布情况和量化指标，有效提高了胎盘植入诊断率，对胎盘植入早期诊断及临床预后具有重要意义。
Abstract:
ObjectiveTo evaluate the clinical value of 3D power doppler ultrasound（3D-PDU） in the diagnosis of placental accreta. Methods48 suspected placenta accreta patients with high-risk factors of placenta implantation in the Department of Gynaecology and Obstetrics of Longgang Central Hospital from January 2015 to October 2017 were selected. The consistency between the 3D-PDU and the "gold standard" for the diagnosis of placenta accreta was observed and compared. ResultsIn 48 cases of suspected placental accreta,35 cases (7292 %) were diagnosed as placental accreta by postoperative pathological examination and clinical comprehensive diagnosis. The results of 3D-PDU examination were 34 cases (7083 %) of placenta accreta, the diagnostic sensitivity was 8571 %, the specificity was 6923 %,and the diagnostic accordance rate was 8125 %.The two diagnostic methods had good consistency (Kappa value was 0536,P<001).The 3 index parameters of VI, FI and VFI in the placenta implantation group were higher than those without placental accreta, and the difference was statistically significant(P<005).Conclusion3D-PDU can directly and vividly display the blood flow of the placenta. The three-dimensional reconstruction software can provide three-dimensional distribution of placental blood vessels and can provide quantitative indicators to effectively improve the diagnostic rate of placenta accreta. 3D-PDU plays an important role in the early diagnosis of placenta accreta and clinical prognosis.

参考文献/References:

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备注/Memo

备注/Memo:
深圳市龙岗区经济与科技发展专项资金-医疗卫生科技计划项目（项目编号：201620475）
更新日期/Last Update: 2018-12-25